HomeMy WebLinkAboutL 13020 P 374 1111111 Illl IIIII 11111 IIIII IIIII VIII 1111111111 IIII IIII
111111 IIIII IIIII IIII f111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/19/2019
Number of Pages : 3 At: 10 : 10 : 51 AM
Receipt Number : 19-0133847
TRANSFER TAX NUMBER: 18-38949 LIBER: D00013020
PAGE : 374
District: Section: Block: Lot:
1000 110 . 00 03.00 007 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15 .00 NO Handling $20 .00 NO
COE $5 . 00 NO NYS SRCHG $15 .00 NO
EA-CTY $5 . 00 NO EA-STATE $250 .00 NO
TP-584 $5.00 NO Notation $0 .00 NO
Cert.Copies $0 . 00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm.Pres $0 .00 NO
Fees Paid $515 . 00
TRANSFER TAX NUMBER: 18-38949
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
L1 0
RECORDED
Number of pages Q019 Jul 19.10:10:51 AN
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY '
record.Please remove all L D00013020
P 374
Social Security Numbers DT# 1£-32949
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES `
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax'.
TP-584 Sub Total
Notation Spec./Assit.
E / or '
EA-52 17(County) L Sub Total Spec./Add.
EA-5217(State) ! D TOT.MTG.TAX
M Dual Town Dual County _
R.P.T.S.A. �J Held for Appointment
Comm,of Ed. 5. 00 °� pal
(t Transfer Tax.
Affidavit + Mansion Tax
"' The property covered by this mortgage is, .
Certified Copy or will be :improved by'a one or two
NYS,Surcharge 15. 00 O family dwelling only,
Sub Total. YES or NO
Other
Grand Total If NO, see appropriate tax clause on
page# of s ins rument.
4_ Dist. 10 190204771000 1I000 0300 007000 300 . 5 Community Preservation Fund
Real Property P T S Consideration Amount,$
Tax
Agency 08-JUL-19 IEW8I�1811WIlIWI����l� CPF Tax Due $ O
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD 1000
Burner Law Group,P.C.
12 Research Way TI) "
East Setauket,NY 11733 TD
Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead; NY 11901 Co.Name
www.suffolkcoLintyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Bargain&Sale Deed made
by: (SPECIFY TYPE OF INSTRUMENT) .
Petra Robinson The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO' In theTOWN of .Southold
Petra Robinson,a/k/a Petra Robinson Goodman,ttee In the VILLAGE
of the Petra Robinson Revocable Trust or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
FORM 8002(short version),FORM 8007(long version)
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the .3 day of 'Yn a. 2019,
BETWEENPetra Robinson of 110 Roosevelt Avenue,Port Jeffelkon,New York 11777,parry of the first
part,and
Petra Robinson, A/K/A Petra Robinson Goodman,Trustee of the Petra Robinson Revocable Trust DTD
March 19,.2009, 110 Roosevelt Avenue, Port Jefferson,New York 11777,party of the second part;
WITNESSETH,that the party of the first part,in consideration of No Dollars and No Cents($0.00)
and other valuable consideration paid by the party of the second part,does hereby grant and release unto
the party of the second part,the heirs or successors and assigns of the party of the second part forever;
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,
situate, lying and being in the Town of Southhold,County of Suffolk and State of New York,bound and
described as follows:
BEGINMNG at a monument on the easterly line of Pinewood Road 200.36 feet northerly along said
easterly line from South Cross Road;and from said point of beginning;running along said easterly line of
Pinewood Road,North 35 degrees 43 minutes 50 seconds West 100.18 feet to a monument and land of
Shaw;then along said land of Shaw,North 57 degrees 42 minutes 00 seconds East 178.0 feet to a monument
and lot 3 as shown on"Map of Eastwood Estates",and filed in the Suffolk County Clerk's Office as Map
No.3683;thence along said lot 3 and along lot 2 as shown on said map, South 32 degrees 18 minutes 00
seconds East 100.0 feet to a monument;thence South 57 degrees 42 minutes 00 seconds West 172.00 feet
to the point or place of BEGINNING.
SAID PREMISES BEING KNOWN AS AND BY 655 Pinewood Road,Southold,New York 11935
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
January 11,2018, and recorded on August 7, 2018,at the Suffolk County Clerk's Office of the State of
New York,Liber No. 12972,Page No.859.
TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets
and roads abutting the above described premises to the center lines thereof,
TOGETHER with the appurtenances and all the estate and rights of the party of the first part in
and to said premises,
TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs
or successors and assigns of the party of the second part forever.
AND the party of the first part, covenants that the party of the first part has not done or suffered
anything whereby the said premises have been encumbered in any way whatever,except as aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the
party of the first part will receive the consideration for this conveyance and will hold the right to receive
such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement
and will apply the same first to the payment of the cost of the improvement before using any part of the
total of the same for any other purpose.
The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so
requires.
IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year
Mw;!
en.
Petra Robinson
NYSBA's Residential Real Estate Forms(912000) -1- 0 2018 Matthew Bender&Company,Inc.,a member of texisNexis.
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK )ss.:
On the 3 day of in the year 2019,before me,the undersigned,
personally appeared Petra Robinson, e sonally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me
that she executed the same in her capacity,and that by her signature on the instrument,the individual,or
th person up behalf of which t e indiv'duai acte executed the instrument.
DO
si azure and office of individual taking acknowledgment) Jy Public,
T. tate of New
Notary Public,State o1 New York
No.011-06314112
Qualified in Sulfoik Count
Commission Expires Nov.3,20
District 1000
Section 110.00
Petra Robinson Block 03.00
Lot 007.000
To County or Town Suffolk County
Street Address 655 Pinewood Road
Petra Robinson,A/K/A Petra Robinson Southold,NY 11935
Goodman,Trustee of the Petra
Robinson Revocable Trust DTD March
19,2009
Return By Mail To:
Nancy Burner,Esq.
Burner Law Group,P.C.
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real Estate Forms(9/2000) -2- 0 2019 Matthew Bender&Company,Inc.,a member of LexisNexis.
INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slate.rty.us
FOR COONTY USE ONLY ;N:yli.Yark State Departiilent of
C1.SwIS Code I I�R u l I Taxation and;Finance.:
. _...,,y... ...
�/ 19/
C2.Date Dead Recorded !Osrce .Real Piopeity.Tax Services
uam� oPr r. .
RP-5217-PDF
C9.BookI / O C4,Page Real Property Transfer Report(8110)
PROPERTY INFORMATION
1,PropertLoestony 655 PINEWOOD ROAD
•6INEETNIamerl •arlEet NATE
CUTCHOGUE SOUTHOLD 11935
•CRY OR TOM YlLUME •ace�. ,
2.Buyer
Name PETRA ROBINSON,A/K/A PETRA ROBINSON TTEE of the PETRA ROBINSON REVOCABLE TRUST DTD 3/1912009
•LASr rAALCDLPANY FIRar HALE
I
MST Nu)f&,O PANY RRST NW
i.Tax Indicate wham hthlre lax Bills Moto besent PETRA ROBINSON.AWA PETRA ROBINSON
Billing Bother than buyer eddress(n bmtom of fans)
Address ursrewNecrPANr FIRST NATE
110 Roosevelt Avenue Port Jefferson NY 11777
BTRat Nt RAFANAAE CRY OR TOM STATE be CODE
4.Indksts the number at Assessment ❑Pan of a Parcel (Orly If Part of a Parcel)Check as they apply:
Roll parcels transferred an the deed 1 6 of parcels OR
4A:Planning Board with Subdivision AWrwlry Exists ❑
e.Deed !( Ott 0.4
Property -RidNr FEET 40.Subdivision Approval was Required for Transfer ❑
Slsa •OEPM -ACRES ,
4C.Parcel Approved for Subdivision wah Map Provided ❑
ROBINSON
PETRA
G.seller
-LAST rLtL1FJC011PANY FVwTNANE
Nome
MST NAMEIP.OMPAW FIInT hA
7.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the time of sets: 8.Ownership Type is Condominium ❑
�/MIr
A. t /^ It.Now Construction on a Vacant Lend ElM•T 10A.Property Loreled within an Agricultural District ❑
10&Buyer reeanmd a disclosure notice indicating that the property is In on
Agricultural District ❑
SALE INFORMATION 13.Check ane or mora of those conditions an applicableto transfer:
A.Sale Between Relagves Or Former Relatives
11.Bob Contract Date B.Sale between Related Companies or Partnere In Business
C.OIs of the Buyers is also a Seller
12.Dote o}9aleRrenslsr D.Buyer or Setter Is Government Agency or Lending Institution
E.Deed Type not Warranty or Bergen and Sale(Specify Below)
F.Sale of Fractional or Lasa than Fee Interest(Specify Below)
'17.Full Sale Price 50.00 G.Significant Change In Property Between Taxable Stilus and Sale Dams
H.Salo of Business m Included In Sale Prise
(Full Sale Pries In the Ictal amount paid fOr the property including personal pmp*FV. I.Other Unusual Factors Affecting Sale Prim(Specify Below)
Thy payment may be in the hxm of cash,other properly or goods,or the assumption of
morlgegos or other obligations.)Phrase round to tiro nearest whoN dclW amount X J.None
Co imang-1 on Condition:
14.Indicate the value of personal
property Included In the male $0.00
ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax&II
1e.Year of Assessment Roll from which Information taken(YY) 16 '17.Total Amassed Value $700.00
•18.Properly Class 3 1 1 — .10.School District Name MATTITUCK-CUTCHOGUE USFD
120.Tax Map ldeetfler(tyRoll NantiMr(s)(if more gen Mur,attach shoot with additional Identifier(s))
1000-110.00-03.00-007.000
CERTIFICATI N
I Certify,that a8 of the Items Of Information entered'on this Mmh are We and correct(to the best of my knowledge and bslteq and I understand that the making at any willful
Islas stetement of material fact herein sub)ect me to lhe=y1slone of t ajisna lsa folet ro to the making and filing of false Instruments.
Iter t FR SIGNATURF BUYER CONTACT INFORMATION
D��J�1_.►n/,� fYf�L( 1 �/►�!� /� //2 tErrerr*Rmxxcn for tlm UNK..Nate II pryer s Ur socisy.anodeaon,eorycdlon.pH clock tempary.Mata or
5"J/'q �arhbnaanmduesd ag!t ar Oduaery,Ihsnatamerid arsacype ardor of a rly) osaarlstla
poly wlmo ten amvam rlmNeemsrw ra�rore ae umelar mart es Mand Type ar Adm ekrry)
MLIERamATURE I DATE
BUYER air NATURE PETRA ROBINSON.AWA PETRA Trustee of the PETRA ROBINSON
'LAST N" RReT NAME
p� - �� �� 63i 473-0374
72
'AIIG caDE •761WTgNC N,MffTt1E•:mmwN
mlYER m10NATLPC uAIE '
110 ROOSEVELT AVENUE
-91MTMJ ER -aTMETNME
PORT JEFFERSON NY 11777
SnY OR TOM 'STATE W COOS
BUYER'S ATTORNEY '
+ , BURNER LAW GROUP PC
- ti • LAST NWE RPST NAME
$S ' •' • ARIACOM 941-3434 TEU041OWbILRM(&,aotwwl
Attachment
Attachment 1
Grantee Name
PETRA ROBINSON,A/K/A PETRA ROBINSON GOODMAN,Trustee of the PETRA
ROBINSON REVOCABLE TRUST DTD 3/19/2009
I
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